Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.83 / $34.72 / $62.42	Facility		$15.83	$34.72	$62.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $11.31 / $19.32	Professional		$9.69	$11.31	$19.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $26.76 / $33.46	Professional		$16.93	$26.76	$33.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $25.71 / $38.74	Professional		$14.69	$25.71	$38.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.69 / $24.62 / $70.34	Facility		$14.69	$24.62	$70.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $15.13 / $39.90	Professional		$8.81	$15.13	$39.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $29.93 / $46.05	Facility		$17.98	$29.93	$46.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $29.93 / $40.51	Professional		$17.64	$29.93	$40.51
United Facility/Professional Facility Modifier Low / Median / High Price $14.69 / $14.69 / $14.69	Facility		$14.69	$14.69	$14.69
United Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $12.31 / $35.58	Professional		$8.81	$12.31	$35.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $14.69 / $14.69	Professional		$11.61	$14.69	$14.69